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OBGYN Flashcards

(71 cards)

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1
Q

placental abruption risk factors:

A

uncontrolled HTN, trauma, cocaine, smoking, preE, prior hx abruption, high parity, rapid decompression

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2
Q

placenta previa risk factors:

A

AMA, high parity, prior c/s, smoking

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3
Q

folic acid dose in low risk preg

A

400 mcg

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4
Q

folic acid dose in high risk preg

A

4000 mcg

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5
Q

start of 2nd trimester

A

14 wks

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6
Q

start of 3rd trimester

A

28 wks

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7
Q

age of HPV vaccine administration

A

9-26 yrs

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8
Q

hCG level w/1st heartbeat on TVUS

A

1500-2000 mIU/mL

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9
Q

1 most common non-skin cancer in women

A

breast

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10
Q

2 most common non-skin cancer in women

A

lung

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11
Q

3 most common non-skin cancer in women

A

colon

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12
Q

top 3 maternal mortalities

A

PP hemorrhage, thromboembolism, HTNsive disease

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13
Q

top 3 GYN cancers in women

A
  1. endometrial, 2. ovarian, 3. cervical
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14
Q

4 PCOS criteria

A

an/oligo-ovulation, lab/clinical evidence of hyperandrogenism, polycystic ovaries on U/S

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15
Q

tests to r/o endocrine disease before labeling PCOS:

A

free testosterone, DHEAS, 17-OH P, TSH, prolactin

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16
Q

age for colonoscopy screening

A

50, then q10 yrs

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17
Q

paps start at age:

A

21 yrs

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18
Q

pap/HPV co-tests start:

A

30

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19
Q

emesis vitamin tx:

A

B6

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20
Q

GDM screening at what wks?

A

26-28 wks

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21
Q

rhogam administered when?

A

28 wks and within 72 hrs of delivery

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22
Q

rhogam administered to avoid what in mom?

A

anti-D isoimmunization

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23
Q

rhogam administered to avoid what in fetus?

A

erythroblastosis fetalis

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24
Q

GBS test done when?

A

35-37 wks

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25
quad/triple screen looks for what diseases?
down's, patau's, edward's syndrome, NTD's
26
quad screen when?
15-21 wks
27
first screen for nuchal translucency when?
11-13 wks
28
most common STD
chlamydia
29
PP depression sx
apathy towards baby, thoughts of hurting baby/self, can't function in daily activities, sadness/crying
30
BV criteria
clue cells on micro, homogenous white d/c, +whiff test, pH > 4.5
31
2 tx for most common STD
azithromycin if preg, doxycycline
32
BV tx
metronidazole, clindamycin
33
LARC (long-acting, reversible contraception)
Mirena and Paragard IUD, nexplanon implant
34
top 2 causes of infertility
PCOS, turner's syndrome (premature ovarian failure)
35
most reliable method for fetal viability (lowest false neg rate)
CST
36
C/S indications
placenta previa, vasa previa, prior classic c/s, malpresentation, failure to progress, shoulder dystocia, active herpes infection, breech, nonreassuring FHTs
37
age for determining "gestational" HTN
>20 wks
38
#1 killer in women
cardiovascular disease
39
GDM screening test dose
50g
40
GDM dx test
100 g GTT
41
MTX contraindications
viable pregnancy, breastfeeding, ruptured ectopic, hemodynamically unstable, leukopenia, thrombocytopenia, active renal/hepatic disease, active PUD
42
criteria for severe preE
systolic >= 160, diastolic >=110, cerebral/visual problems, PE or cyanosis, epigastric/RUQ pain, elevated LFTs, thrombocytopenia, oliguria <500mL/24 hrs, IUGR
43
contraception to avoid w/migraines that have aura:
combo OCPs
44
most common thrombophilic disease
factor V leiden
45
4 risk factors for endometrial cancer
PCOS, obesity, diabetes, unopposed estrogen tx, nulliparity, early menses/late menopause
46
2 mastitis tx
dicloxacillin, clindamycin
47
protein cutoff for mild preE
300 mg/24 hrs
48
protein cutoff for severe preE
5000 mg/24 hrs
49
ectopic preg risk factors
prior ectopic preg, PID or hx STI's, tubal scarring from surg/TB, ART, smoking, IUD, septate uterus
50
preE risk factors
1st preg, multifetal gestation, prior preE, c. HTN, preGDM, vascular/CT disease, obesity, AMA, african
52
HELLP
hemolysis, elevated liver enzymes, low PLTs
53
GBS tx
PCN
54
GBS tx if allergic to 1st line
Cefazolin (Ancef) w/low anaphylaxis risk, do sensitivities for Erythro and Clinda if high risk anaphylaxis, Vancomycin if resistant
55
GA for cardiac activity on TVUS
5-6 wks
56
gonorrhea tx
ceftriaxone, cefixime, ciprofloxacin
57
syphilis tx
benzathine PCN G
58
syphilis tx if allergic to 1st line
desensitize and still give benzathine PCN G
59
GDM complications for mother
preE, bacterial infections, C/S, polyhydramnios, birth injury
60
progestin w/inc. risk VTE
medroxyprogesterone acetate
61
contraception for hypertensive patient
anything but combo drugs, so depo provera/progestin-only minipill/paragard IUD
62
endometritis sx
fever, pelvic pain, vag d/c or bleeding, abd swelling, constipation, malaise
63
GDM complications for baby
hyperinsulinemia--> macrosomia--> shoulder dystocia--> birth injury, perinatal death, preterm delivery, hypoglycemia/calcemia
64
breast cancer risk assessment uses what model?
gail model
65
PMDD tx
SSRI, calcium, aerobic exercise
66
mammograms start at what age?
40
67
combination HRT is FDA aproved for what?
menopausal sx
68
combination HRT risks
blood clot, stroke, breast CA, CV disease
69
tx for CIN2 or CIN3
LEEP
70
viable fetus, vag bleeding/cramping, closed cervix
threatened abortion
71
non-viable fetus, closed cervix
missed abortion
72
viable fetus, open cervix
inevitable abortion

OB/GYN (3 decks)

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